A Cross-Sectional Study of Factors Associated with Prehypertension among Final Year Medical Students of University of Kisangani
Published: 2024-07-09
Page: 134-145
Issue: 2024 - Volume 7 [Issue 1]
Ossinga Bassandja *
Department of Internal Medicine, Faculty of Medicine and Pharmacy, Kisangani University, Republic of the Congo.
Atoba Bokele
Department of Internal Medicine, Faculty of Medicine and Pharmacy, Kisangani University, Republic of the Congo.
Kayembe Tshilumba
Department of Internal Medicine, Faculty of Medicine and Pharmacy, Kisangani University, Republic of the Congo.
Batina Agasa
Department of Internal Medicine, Faculty of Medicine and Pharmacy, Kisangani University, Republic of the Congo.
*Author to whom correspondence should be addressed.
Abstract
Introduction : Prehypertension is a major health problem that exposes subjects to increase their risk of cardiovascular disease regardless of progression to overt hypertension. The objective of this study is to determine the prevalence of prehypertension and to identify its associated factors among final year medical students of University of Kisangani.
Methods : A descriptive and analytical cross-sectional study was conducted at Kisangani University Clinics over a period ranging from December 2022 to March 2023 and involved 130 final year medical students. Parameters of interest included sociodemographic data, clinical and anthropometric data, behavioral data, and environmental data. Factors associated with prehypertension were identified using logistic regression.
Results: Prevalence of prehypertension 40% among final year medical students. Factors associated with prehypertension were age varying between 30 and 39 years (p<0,05), family history of high blood pressure (p<0,05), family history of diabetes mellitus (p<0,05), moderate anxiety (p<0,05), coffee consumption (p<0,05), and irregular physical activity (p<0,05).
Conclusion : This study shows that the prevalence of prehypertension among final year medical students of University of Kisangani was high. Factors associated with prehypertension were identified. Multicenter studies with a larger sample size should be conducted to obtain more accurate results in the identification of factors associated with prehypertznsion so that early intervention can be implemented nationwide.
Keywords: Prehypertension, prevalence, associated factors, medical student, Kisangani
How to Cite
References
Roger VL, Go AS, Lloyd-Jones DM, Adams RJ, Berry JD, Brown TM et coll. Heart disease and stroke Statistics update : A report from the American heart association. Circulation. 2011;123(4):e18-e209. Available:http://doi.org/10.1161/CIR.0b013e3182009701
Chobanian A, Bakris G, Black H, Cushman W, Green L, Izzo J et coll. Septième rapport du Comité national mixte sur la prévention, la détection, l’évaluation et le traitement de l’hypertension artérielle. Hypertension. 2003;42(6):1206-1252
Pasche A, Feihl F, Liaudet L, Waeber B. La préhypertension : Un concept utile. Forum Med Suisse. 2008;8:28-32.
Ilori HT, Adebusoye LA, Daramola OO, Ajetunmobi OA. Cardiovascular risk assessment among patients with hypertension presenting at a family medicine clinic in Southwest Nigeria. J. Adv. Med. Med. Res. 2019;29(1):1-10.
Available:https://journaljammr.com/index.php/JAMMR/article/view/3336
Rakshit S, Pramanik P. Relationship between habitual physical activities and hypertension in bengali male adolescents. Asian J. Med. Health. 2023;21(11):282-9. Available:https://journalajmah.com/index.php/AJMAH/article/view/946
Ji X, Zhao H, Wang M, Li Y, Zhang C, Wang X. Study of correlations between metabolic risk factors, PWV and hypertension in college students. Clinical and Experimental Hypertension. 2020;42 (4):376-80.
Nyombi KV, Kizito S, Mukunya D, Nabukalu A, Bukama M, Lunyera J, Asiimwe M, Kimuli I, Kalyesubula R. High prevalence of hypertension and cardiovascular disease risk factors among medical students at Makerere University College of Health Sciences, Kampala, Uganda. BMC Research Notes. 2016;9:1-6.
Vasan RS, Larson MG, Leip EP et al. Impact of high normal blood pressure on the risk of cardiovascular disease. N Engl J Med. 2001;345:1291-1297 4.
Zhang H, Thijs L, Kuznetsova T et al. Progression to hypertension in the nonhypertensive participants in the Flemish Study on Environment, Genes and Health Outcomes. J. Hypertens. 2006; 24(9):1719-1717.
Fourcade L, Paule P, Mafart B. Hypertension artérielle en Afrique subsaharienne : Actualité et perspectives. Med Trop. 2007;67:559-567.
Pasche A, Feihl F, Liaudet L, Waeber B. La préhypertension : Un concept utile ? Forum Med Suisse. 2008;8:28-32.
Abdulrahman MJA, Yusef MA, Tariq HAl, Bader ASA, Abdulaziz MMA, Amjed NA et al. Prehypertension and hypertension in medical students of northern border university a arar, en arabie saoudite. Revue égyptienne de médecine hospitalière (janvier). 2018;70: 33-38.
Lavina S. (2015). Pre-hypertension, heart rate, obesity and their co-relationship; Survey on Medical Students. Gujarat Medical Journal 27-30.
Al-Majed H, Sadek A. Pre-hypertension and hypertension in college students in Kuwait : A neglected issue. Journal Family Community Medicine. 2012;19(2):105-106.
Balami AD, Salmiah MS, Nor AMZ. Les déterminants psychologiques de la préhypertension chez les étudiants de première année de premier cycle dans une université publique en Malaisie, Malaysian Journal of Public Health Medicine. 2014;14(2):67-76.
Aicha H, Asma BH, Sarra M, Donia BH, Nabila BR, Asma O. Epidémiologie de l’hypertension artérielle en Tunisie : Etude Hammam Sousse/Sahloul Heart Study (HSHS), la Tunisie Médicale. 2022;100 (02):167-179.
Echelle d’évaluation du stress. Association canadienne pour la santé mentale. www.acsm-ca.qc.ca; 2003.
Echelle HAD. Hospital anxiety and depression scale. Haute autorité de santé; 2014.
Venkatachelam R. Prehypertension among medical students and its association with cardiovascular risk factors. Journal of Dr. NTR University of Health Sciences; 2015.
Qaiser S, Daud MN, Ibrahim MY, Gan SH, Rahman MS, Sani MH et coll. Prevalence and risk factors of prehypertension in university students in Sabah, Borneo Island of East Malaysia. Médecine. 2020;99:21(e20287).
Al Asmary S, al shebri A, farahat F et al. Community based screening of prehypertension among military active duty personnel. Saoudi Med J. 2008;29(12):1779-1784.
Ezzati M, Henley SJ, Thun MJ et coll. Role of smoking in global and regional cardiovascular mortality. Circulation. 2005;112(4):489-97.
Rahmanian K et Shojaie M. The prevalence of pre-hypertension and its association to established cardiovascular risk factors in south of Iran. BMC Research Notes. 2012;5:386.
Kawamoto R, Kohara K, Tabara Y et coll. High prevalence of prehypertension is associated with the increased body mass index in community-dwelling Japanese. Tohoku J Exp Med. 2008;216 (4):353-361
Bhattacharjya J, Goswami B. Prevalence of prehypertension among the medical students and its correlation with body mass index. Int J Sci Stud. 2016;4(7):13-16.
Allal-Elasmi M, Feki M, Zayani Y et al. Prehypertension among adults in Great Tunis region (Tunisia) : A population-based study. Pathologie Biologie. 2012;60(3):174-179.
Nary FC, Santos RD, Laurinavicius AG et coll.Relevance of préhypertension as a diagnostic category in asymptomatic adults. Einstein 2013; 11(3): 303-9.
Shahi M, Li CW. Prehypertension and its correlation with cardiovascular risk factors – a study among health sciences students in Malaysia. J Integr Health Sci. 2013;1:104.
Logaraj M, Dinesh MRS, Balaji R. Prevalence of pre-hypertension and its association to risk factors for cardiovascular diseases among male undergraduate students in Chennai. Int J Community Med Public Health. Février. 2016;3(2):542-550.
Lucky B, Stanley B, Wicensius S, Aria K. Blood Pressure Profile of Young Adults at the Faculty of Medicine University Indonesia; 2018.
Mohd F, Mat S, Mohd Y, Mohd T. Prevalence and Determinants of Pre-Hypertension among Undergraduate Preclinical Medical Students in Central Malaysia; 2018.
Hulanicka B, Lipowicz A, Kozieł S, Kowalisko A. Relationship between early puberty and the risk of hypertension/overweight at age 50 : Evidence for a modified Barker hypothesis among Polish youth. Econ Human Biol. 2007;5:48-60.
Al-Majed HT, Sadek AA. Pre-hypertension and hypertension in college students in Kuwait : A neglected issue. J Fam Community Med. 2012;19:105-12.
Gupta R, Misra A, Vikram NK, Kondal D, Gupta SS, Agrawal A et coll. Younger age of escalation of cardiovascular risk factors in Asian Indian subjects. BMC Cardiovasc Disord. 2019;9:28-31.
Hafeez I, Salmiah MS, Saliluddin SM. Pre-hypertension and its associated factors among students in a pre-universitycollege in Malaysia. International Journal of Public Health and Clinical Sciences. 2016;3(5).
Abdulrahman MJA, Yusef MA, Tariq HA, Bader ASA, Abdulaziz MMA, Amjed NA et al. Prehypertension and hypertension in medical students of northern border university a arar, en Arabie saoudite. Revue Egyptienne de Médecine Hospitalière (janvier). 2018;70: 33-38.
Jain J, Mathur H, Apte S, Sinha, AgarwaL K, Chanchlani R. Prevalence of prehypertension and hypertension and its correlation with anthropometrtic measurements in medical students of central India; 2014.